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This activation: Promotes directed cell migration toward injury sites Enhances cellular outgrowth from damaged tissue edges Improves cell survival during the stressful healing process Facilitates proper tissue organization This mechanism is particularly relevant for tendon and ligament healing, where cellular organization and proper fiber alignment are critical for functional recovery

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GH then travels to the liver, activating GHR-Jak2-STAT5b signalling, upregulating IGF-1 synthesis (predominantly IGF-1Ea/1Eb splice variants), and inducing hepatic IGFBP-3 and ALS (acid-labile subunit) to form the circulating 150kDa ternary complex that extends IGF-1 half-life to 12-15 hours in the systemic circulation

They regulate synaptic formation and function, release neurotrophic factors and neurotransmitters and maintain metabolic homeostasis in the brain